Individual provider Active NPI

Letisia Reyna Gaytan, LMT

  • Massage Therapist
  • Corpus Christi, TX
National Provider Identifier
1952053175
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT127697 Issued in TX
Practice address
4220 S Padre Island Dr Ste a
Corpus Christi, TX 78411-4428
Phone
(361) 462-1867
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT127697 TX Primary

Addresses

Primary practice location

4220 S Padre Island Dr Ste a
Corpus Christi, TX 78411-4428

Mailing address

4220 S Padre Island Dr Ste a
Corpus Christi, TX 78411-4428
Phone (361) 462-1867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT127697TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Massage Therapy & Holistic Wellness Center PLLC Single Specialty Current Accepting new patients
Thera-Care Massage & Bodyworks Single Specialty Current Accepting new patients
Thera-Care Massage & Bodyworks LLC Single Specialty PastSince Apr 14, 2024 Accepting new patients

Locations

4220 Spid Dr
Ste A
Corpus Christi, TX 78411
Phone (361) 462-1867

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1952053175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 S PADRE ISLAND DR STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114428",
            "telephone_number": "361-462-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 S PADRE ISLAND DR STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114428",
            "telephone_number": "361-462-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA GAYTAN",
        "first_name": "LETISIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT127697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.